Interventional Orthopedics
Non-Surgical Options for Orthopedic Conditions
Interventional Orthopedics is a branch of medicine that focuses on services and treatments for the musculoskeletal system without the use of surgery. One of the treatments commonly used within interventional orthopedics is regenerative injections. Regenerative injections play a unique role in promoting tissue repair within the body. Tissue commonly treated include muscles, tendons, nerves, ligaments and joints. Repairing these tissues can help reduce pain, improve movement or function, post pone the need for surgery, aid in recovery from surgery, and improve quality of life for many people. Stimulation of the body's innate repair processes is key to regenerative injections. All injections are performed under ultrasound guidance to ensure safe and precise treatments.
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Dr. Lenoue III is one of the top specialists in interventional orthopedics and regenerative medicine in the Northwest US. He is specially trained in musculoskeletal diagnostic ultrasound which allows for real-time "in the moment" diagnosis. Once the diagnosis is confirmed treatment is then performed using precise ultrasound-guided injections. Coupling advanced diagnostics with ultrasound-guided regenerative medicine is unsurpassed in terms of quality and effectiveness.
Diagnostic Musculoskeletal Ultrasound
Diagnostic Musculoskeletal Ultrasound is an essential tool in diagnosing a range of musculoskeletal conditions, and is a crucial element in delivering precise injections. This non-invasive, safe, and painless approach uses high-frequency sound waves to produce real-time images of muscles, tendons, ligaments, nerves and joints. These images allow Dr. Philip Lenoue, III instant feedback to assist in the diagnosis of musculoskeletal conditions such as sprains, strains, tears, nerve entrapment, early changes with arthritis, inflammation or fluid within joints or bursae, masses or cysts.
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Dr. Philip Lenoue, III is certified in MSK Ultrasound and now trains other providers in ultrasound guided injections.
Prolotherapy
Prolotherapy is a treatment that involves injecting a proliferate solution (typically 12.5%-25% dextrose), with a local anesthetic, into damaged connective tissue such as ligaments, tendons, or joints. This treatment causes localized inflammation (irritation) at the desired site of injury which stimulates the body to repair the tissue.
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Injection is always done under ultrasound guidance.
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Prolotherapy injections typically increase pain in treatment area for 1-2 weeks.
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Average number of treatments to an area range from 1-6, spaced out every 4-6 weeks.​
Platelet-Rich Plasma (PRP)
PRP stands for Platelet-Rich Plasma. Plasma is the liquid part of blood. It contains the blood components like red blood cells, white blood cells, and platelets. Platelets are one of the elements of blood that help the body clot when there is a cut. Platelets also contain proteins and growth factors that are crucial for healing that cut. Through harvesting and concentrating platelets they can be injected into several different tissue types to stimulant healing.
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Injection is always done under ultrasound guidance.
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PRP injections will increase pain in the area for 1-4 weeks.
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PRP has been reported to be more painful compared to prolotherapy.
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Average number of treatments to an area is 1-3, spaced out every 4-6 weeks.
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Results may not be noticed for upwards of 3-6 months.
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Platelet-Rich Fibrin (PRF)
Platelet-Rich Fibrin (PRF) is similar to PRP except no anticoagulant is used. This allows the blood sample to clot after centrifugation. This fibrin matrix can then be used as an injection and allows for a slow release of growth factors over time.
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Injection is always done under ultrasound guidance.
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PRF injections will increase pain in the area for 1-4 weeks.
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PRF has been reported to be more painful compared to prolotherapy.
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Average number of treatments to an area is 1-3, spaced out every 4-6 weeks.
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Results may not be noticed for upwards of 3-6 months.
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Nerve Hydrodissection
Nerve Hydrodissection is a procedure that identifies and targets an irritated and/or entrapped nerve and uses a solution, such as anesthetic, dextrose solution and/or plasma, to separate the nerve from the tissue, fascia, and/or surrounding structures. Nerve Hydrodissection aims to open the constricted tissue around the nerve and allow the nerve freedom to function normally and thereby reducing nerve related pain.
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Injection is always done under ultrasound guidance.
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Average number of treatments is typically between 1-3 treatments at 2-4 week intervals.
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Nerve Block
A Nerve Block is an injection technique used to help manage pain and improve mobility. Local anesthetic is used to block painful nerve signals, and that can provide effective short-term relief that lasts for hours or days. If you're tired of struggling with pain, schedule a consultation with us and learn more about how our Nerve Block treatments can help you feel better.
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Hyper-Acute Serum (HAS)
Hyper-Acute Serum is a variation of PRP and PRF. Similar to PRF no anticoagulant is used, therefore the plasma behaves closer to the natural cellular environment which occurs in an injury. This unique process also allows for larger areas to be treated as the volume produced is higher.
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Injection is always done under ultrasound guidance.
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HAS injections will increase pain in the area for 1-4 weeks.
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Average number of treatments to an area is 1-3, typically spaced out every 3-6 weeks.
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Results may not be noticed for upwards of 3-6 months.
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